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NUR 2755 / NUR2755 Exam 1: Multidimensional Care IV / MDC 4 Exam 1 Review (2021/2022) Rasmussen
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NUR2755 Multidimensional Care IV / MDC 4 Exam 1 Review
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MDC IV Exam 11. What is Alzheimer's?
- A progressive disease that destroys memory and other important mental functions.
2. Symptoms of Alzheimer's
- dementia/ memory loss, changes in judgement and decision making, issues with
visuospatial perception, personality changes
3. Risk factors for Alzheimer's
- Age, female gender, family history
4. How do you assess for Alzheimer’s?
- Cognitive function test, assessing for abnormalities in cognitive function, language,
personality, and behavior
5. What is prosopagnosia?
- inability to recognize one's own face and other's faces. Sometimes a symptom of
Alzheimer's
6. What is the priority intervention for Alzheimer's patients?
- SAFETY. Monitor for wandering and making unsafe decisions
7. What do Alzheimer's drugs do?
- Slow disease progression and improve cognitive function. There is no drug that can
reverse Alzheimer's.
,8. What are the common Alzheimer's drugs?
- Memantine: Slows disease process
Donepezil (Aricept/ Cholinesterase Inhibitor): Improve function and cognition
9. Validation Therapy
- The caregiver accepts values and beliefs of the resident with dementia, even though
they may differ from reality. Do not argue with the patient, just validate their feelings
and encourage them to talk about how the feel. Ask them fact-based questions. (If a
dementia patient thinks they mother is still alive, ask "what do you remember about
your mother?" instead of "no, your mother has already passed away a long time ago")
10. What is the Parkinson's disease?
- Also called Paralysis Agitans. Progressive neurodegenerative disease. Affects motor
ability
11. What are the symptoms of Parkinson's Disease?
- tremor, rigidity, bradykinesia or akinesia, and postural instability
12. What emotional changes are seen in Parkinson's patients?
- depression, irritability, pessimism, fear, insecurity
13. What are secondary Parkinsonian symptoms?
- Parkinson-like symptoms that come from something else like a side effect of a
medication or a brain tumor
14. What are some risk factors for Parkinson's disease?
, - genetics, exposure to pesticides, herbicides, industrial chemicals and metals, well
water, and low estrogen levels
15. What is a migraine headache?
- severe headache that includes intense pain on one side of the head, photophobia
(sensitivity to light) or phonophobia (sensitivity to noise)
16. Abortive migraine therapy
- Triptans, NSAIDs, Acetaminophen, Antiemetics, Ergotamine. Alleviates pain during aura
phase or soon after the start of a migraine
17. Preventative migraine therapy
- Beta blockers
anticonvulsants - topiramate valproate
TCAS. Prevent headaches by preventing vascular changes
18. Non pharmacological migraine management
- AVOID triggers (diary, tyramine-rich foods)
Relaxation techniques, yoga
-Regular exercise
-adequate and regular sleep (important to include in diary)
-good nutrition
19. Cluster headaches
- brief (30 minutes to 2 hours) headaches that are intense and unilateral. Usually occur
without warning in the spring and fall.
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